7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityModerate

47th national percentile — 2.2% high-severity citations

ChronicityWatch

64th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropElevated

81th national percentile — 20.2%

Contract staff shareElevated

75th national percentile — 6.6%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.18 vs expected 2.99 · +0.18 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

46 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jul 17, 2024 · Isolated — no actual harm with potential for more
F-0580
E
Immediately tell the resident, the resident's doctor, and a family membe…
Potential Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Oct 12, 2023 · Pattern — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Oct 12, 2023 · Pattern — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Oct 12, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

29 citations on file
F-0036
C
Establish emergency prep training and testing
Minimal Harm

Establish emergency prep training and testing.

Survey date: Oct 28, 2021 · Widespread — no actual harm
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Oct 28, 2021 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Oct 28, 2021 · Pattern — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Oct 28, 2021 · Isolated — no actual harm with potential for more

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
OUR LADY OF PERPETUAL HELP
14.1 km · VIRGINIA BEACH, VA
★★★★★
CMS
19th
Risk %ile
Lower risk
WESTMINSTER-CANTERBURY ON CHESAPEAKE BAY
15.8 km · VIRGINIA BEACH, VA
★★★★★
CMS
23th
Risk %ile
Lower risk
JONES & CABACOY VETERANS CARE CENTER
22.8 km · VIRGINIA BEACH, VA
NR
CMS
33th
Risk %ile
Lower risk